DEPARTMENT OF INSURANCE

Affiliations

Name	Corbin, Jason E	DOIID	354191	NAIC NPN	7193270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/21/2024		7/31/2026
Active	Resident	Agent	Health	10/21/2024		7/31/2026
Active	Resident	Agent	Casualty	10/21/2024		7/31/2026
Active	Resident	Agent	Life	10/21/2024		7/31/2026
Inactive	Resident	Agent	General Lines	8/26/1998	8/15/2000
Withdrawn	Resident	Agent	Personal Lines
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	10/15/1998	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023	7/31/2024
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	10/15/1998	10/23/1998
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023	7/31/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/3/2020	7/31/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/3/2020	7/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	7/31/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/28/2004	1/22/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/28/2004	1/22/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/20/2004	7/31/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/20/2004	7/31/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	11/28/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	11/28/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	5/3/2024
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	10/19/1998	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	5/3/2024
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	3/13/2024
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/26/1998	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	3/13/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2004	5/23/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	5/23/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/20/2004	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/20/2004	10/5/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/23/2005	12/28/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/23/2005	12/28/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/2/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/2/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	3/13/2024
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	8/26/1998	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	3/13/2024
Inactive	Pioneer American Insurance Company	301268	Agent - Life	6/17/2005	12/15/2006
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/4/1998	3/13/2024
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/4/1998	3/13/2024
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Life	7/15/2024	7/31/2024
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Health	7/15/2024	7/31/2024
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Property	7/15/2024	7/31/2024
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Casualty	7/15/2024	7/31/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	7/31/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	7/31/2024
Inactive	Jason E. Corbin Insurance, Inc.	1034517	Agent - Life	3/29/2019	7/31/2024
Inactive	Jason E. Corbin Insurance, Inc.	1034517	Agent - Health	3/29/2019	7/31/2024
Inactive	Jason E. Corbin Insurance, Inc.	1034517	Agent - Property	3/29/2019	7/31/2024
Inactive	Jason E. Corbin Insurance, Inc.	1034517	Agent - Casualty	3/29/2019	7/31/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/11/1998	3/12/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/11/1998	3/12/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	9/11/1998	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	3/12/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	3/12/2024
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007